title: [Increase of repeat abortion in France: from contraceptive issues to postponement of childbearing age].
abstract: BACKGROUND
  The number of women resorting to abortion several times has increase continuously in France since 1975, similar to the situation in many countries where contraception is widely available and used. The analysis of time trends in so-called "repeat" abortion across social, demographic and contraceptive characteristics can be helpful in capturing the social meaning of this practice and informing policies for sexual and reproductive health.
  
  
  METHODS
  The present analysis was based on statistical reports of abortions performed in France from 1990 to 2007 and on data from the National Survey of Abortion Patients, a representative sample of 7067 women undergoing an abortion in France. Chi(2) and logistic regression models were used for the statistical analysis.
  
  
  RESULTS
  Increase in "repeated" abortion was seen across all groups of the population but was greater in women under 30, women who live alone and students. Women presenting for a second abortion were more likely to report the pregnancy followed a contraceptive failure than women presenting for an abortion for the first time.
  
  
  CONCLUSIONS
  The trend for an increasing use of multiple abortions over time occurs primarily because of longer time between first intercourse and first child. Having several abortions is an expression of the difficulties women have in managing daily contraceptive use in the context of more diversified emotional and sexual trajectories.
authors.affiliation: Inserm-Cesp-U1018, 82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre cedex, France; Ined, 133, boulevard Davout, 75020 Paris, France. nathalie.bajos@inserm.fr
authors.forename: N
authors.initials: N
authors.lastname: Bajos
authors.forename: F
authors.initials: F
authors.lastname: Prioux
authors.forename: C
authors.initials: C
authors.lastname: Moreau
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data* / Q000639:trends*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003267:Contraception / Q000379:methods* / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000706:statistics & numerical data / Q000639:trends*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008423:Maternal Age; D008875:Middle Aged; D011247:Pregnancy; D012008:Recurrence; D055815:Young Adult
keywords: Avortement répété; Contraception; Repeat abortion; Santé sexuelle et reproductive; Sexual and reproductive health